Individual
MRS. JAIMI MORGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
23312 N 72ND AVE, GLENDALE, AZ 85310-5880
(623) 229-4391
Mailing address
23312 N 72ND AVE, GLENDALE, AZ 85310-5880
(623) 229-4391
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6346
AZ
Other
Enumeration date
08/22/2016
Last updated
08/22/2016
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